Please only fill this out if you have been asked to. Otherwise please pop me an email or call for initial chat. Thank you.

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YOUR DETAILS

I accept treatment from Barbara Garrett as a Bio Kinesiologist. I understand that BioKinesiology is a complementary therapy to be used in conjunction with, and not as an alternative from, medical treatment.


I consent to the processing of my personal data by Barbara Garrett in accordance with the General Data Protection Regulation 2018, solely for the purposes of providing me with BioKinesiology treatment in this and any further consultation which I may have. The personal data may be retained by Barbara Garrett for seven years from the date of such last consultation. I understand it will not be disclosed to any third parties or transferred out of the European Union and I may request a copy of it at any time.


Submitting the following completed form confirms you understand the above.

REASON FOR YOUR VISIT
CURRENT MEDICATION/SUPPLEMENTS/OVER THE COUNTER MEDICATION?
SURGERY/SERIOUS ILLNESS
DIGESTIVE HEALTH
DIET – PLEASE GIVE A DETAILED OUTLINE OF YOUR DAILY FOODS
ENERGY LEVELS THROUGHOUT THE DAY
EXERCISE
SLEEP PATTERN
MOOD, STRESS & MENTAL HEALTH
DENTAL AND TATTOOS
Do you have any of the following:
OTHER
How did you hear about Thrive Health Solutions? Please tick
Thank you. I will be in touch soon. Barbara

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